Active NPI
Family Services of NW PA
- Child & Adolescent Psychiatry Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- FAMILY SERVICES OF NW PA
- Practice address
- 5100 Peach St
Erie, PA 16509-2482 - Phone
- (814) 866-4500
- Fax
- (814) 864-2677
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Steven Gresh
- Title
- Cfo
- Phone
- (814) 866-4504
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
5100 Peach St
Erie, PA 16509-2482
Mailing address
5100 Peach St
Erie, PA 16509-2482
Phone (814) 866-4500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007436350006 | Medicaid | PA | |
| BLUE SHIELD | Other | PA | 631888 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
235 E 11th St
Erie, PA 16503
Phone (814) 866-4545
5100 Peach St
Erie, PA 16509
Phone (814) 866-4500
1720 Holland St
Erie, PA 16503
Phone (814) 453-6073
18360 Technology Dr
Ste 200
Meadville, PA 16335
Phone (814) 724-4800
13378 Dunham Rd
Meadville, PA 16335
Phone (814) 866-4500
7 W State St
Ste 208
Sharon, PA 16146
Phone (724) 704-7227
38 N Main St
Union City, PA 16438
Phone (814) 866-4500
105 Concord St
Union City, PA 16438
Phone (814) 790-2628
91 Miles St
Union City, PA 16438
Phone (814) 790-2628
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Erie, PA
- NPI 1679722516
-
- Psychiatry Physician
- Erie, PA
- NPI 1538231170
-
- Psychiatry Physician
- Erie, PA
- NPI 1962997726
-
- Child & Adolescent Psychiatry Physician
- Monroeville, PA
- NPI 1447279955
-
- Child & Adolescent Psychiatry Physician
- Erie, PA
- NPI 1336110279
-
- Child & Adolescent Psychiatry Physician
- Pittsburgh, PA
- NPI 1326569229
-
- Professional Counselor
- Sharon, PA
- NPI 1659251460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642982400000",
"number": "1265482863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165092482",
"telephone_number": "814-866-4500",
"fax_number": "814-864-2677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 PEACH ST",
"city": "ERIE",
"state": "PA",
"postal_code": "165092482",
"telephone_number": "814-866-4500",
"fax_number": "814-864-2677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY SERVICES OF NW PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A",
"authorized_official_last_name": "GRESH",
"authorized_official_first_name": "STEVEN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "814-866-4504"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007436350006",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "631888",
"identifier": "BLUE SHIELD",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Erie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.